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Updated: May 13, 2026

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
Prehospital treatment of ST-segment elevated myocardial infarction patients
Thomas O Bergmeijer1, Sonja Postma, Arnoud Wj Van't Hof
1St Antonius Hospital, Department of Cardiology, PO box 2500, 3432 EM Nieuwegein, The Netherlands.
Insights
Optimal care for ST-segment elevated myocardial infarction (STEMI) requires rapid diagnosis and treatment. Achieving reperfusion within 90 minutes involves seamless coordination between emergency medical services and hospital teams.
Area of Science:
- Cardiology
- Emergency Medicine
- Healthcare Management
Background:
- ST-segment elevated myocardial infarction (STEMI) presents significant clinical challenges.
- Timely intervention is critical for myocardial salvage and improved patient outcomes.
Purpose of the Study:
- To highlight the complexities in providing optimal care for STEMI patients.
- To emphasize the importance of rapid diagnosis, treatment initiation, and reperfusion.
Main Methods:
- Review of prehospital and in-hospital care coordination for STEMI.
- Emphasis on the cascade of actions from first medical contact to reperfusion.
Main Results:
- Successful STEMI care hinges on a coordinated, time-sensitive approach.
- Achieving reperfusion within 90 minutes requires efficient interplay between emergency and hospital services.
Conclusions:
- State-of-the-art STEMI care necessitates adherence to the latest guidelines and insights.
- Optimizing STEMI patient pathways requires a focus on organizational efficiency and rapid response.
Abstract:
Providing optimal care to patients with ST-segment elevated myocardial infarction is challenging. If a patient experiences chest pain and calls the emergency number, a cascade of actions is initiated that should lead to a diagnosis, start of treatment and reperfusion of the infarcted myocardium. This should all happen within 90 min after first medical contact, irrespective of the location of the patient or the time of day. The complex organization that is needed to achieve this goal in every ST-segment elevated myocardial infarction patient accounts for a fascinating interplay between prehospital and in-hospital care, in a situation when every minute counts. State-of-the-art care should be provided according to the latest insights and guidelines.
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